Comparative Evaluation of Ultrasound Guided Supraclavicular and Infraclavicular Subclavian Venous Catheterization in Pediatrics: Prospective, Randomized, Single-Blinded Clinical Trial | ||
| Ain-Shams Journal of Anesthesiology | ||
| Volume 17, Issue 1, January 2025, Pages 1-5 PDF (338.87 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asja.2024.316589.1152 | ||
| Authors | ||
| Radi Mohammed Radi Moustafa Abdelgawad* 1; Saad-Elden Mahmoud Abdelrahman Al-Khatib2; Ismail Mohamed Abd-El Gawad Ahmed3 | ||
| 1Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Al Azhar University, Cairo, Egypt. | ||
| 2Anesthesia, Intensive Care and Pain Management Department, Faculty of Medicine, Alazhar University, Cairo, Egypt. | ||
| 3Anesthesia, Intensive Care and Pain Management Department, Faculty of Medicine, Alazhar University , Cairo, Egypt. | ||
| Abstract | ||
| Background: Placing a central venous catheter (cvc) is a crucial invasive surgery that children of all ages undergo in the operating theater and the intensive care unit. the purpose of this study was to compare two methods for subclavian venous catheterization in pediatric patients: ultrasound-guided supraclavicular (sc) and infraclavicular (ic). the goal of this comparison is to help clinicians practice cvc insertion with more speed, accuracy, and less problems. Methods: This prospective, randomized, single-blinded clinical trial administered to forty children, comprising both sexes, between the ages of four and twelve, American society of anesthesiologists I, II, III physical status, needing central venous line insertion, intra-operative hemodynamic monitoring, volume, inotrope resuscitation, difficult peripheral Intravenous access and intravenous nutrition and medications. There were two groups of patients: SC and IC. Results: The groups were significantly different according to puncture time, total access time, guidewire misplacement and catheter insertion length. Catheter insertion duration, quality of needle visualization, number of attempts, and first attempt success rate were not significantly different across the groups that were evaluated. There was no significant difference between studied groups according to pneumothorax and hematoma. Conclusions: SCV catheterization in pediatric patients in comparison to the IC approach, resulted in a reduced puncture time and a reduction in the occurrence of guidewire misplacement. | ||
| Keywords | ||
| Central venous catheter; infraclavicular approaches; subclavian vein; ultrasound-guided supraclavicular | ||
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